Tubular Adenoma of the Breast: A Rare Presentation and Review of the Literature

Nikolaos S. Salemis, Georgios Gemenetzis, Gregorios Karagkiouzis, Charalambos Seretis, Konstantinos Sapounas, Vlasios Tsantilas, Dimitrios Sambaziotis, Emmanuel Lagoudianakis

Abstract


Tubular adenomas, also known as pure adenomas, are rare epithelial tumors of the breast. Only a few cases have been reported in the literature, especially in young women of reproductive age. Postmenopausal women are very rarely affected. We describe here a very rare case of tubular breast adenoma in a postmenopausal woman who presented with a gradually enlarging breast lump. Clinical examination and imaging studies revealed a non-tender well circumscribed left breast tumor suggestive of a fibroadenoma. Due to the history of progressive enlargement of the breast lump, a surgical excision was performed. Histological findings were suggestive of a tubular breast adenoma. We conclude that although tubular breast adenoma is rare, it should always be considered in the differential diagnosis in postmenopausal patients presenting with a gradually enlarging breast mass. Preoperative diagnosis is difficult because tubular adenoma is indistinguishable from a fibroadenoma on physical examination and breast imaging. Surgical excision is necessary to establish a definitive diagnosis. Clinical presentation and management of our patient are discussed along with a review of the literature.




doi:10.4021/jocmr746w


Keywords


Tubular adenoma; Breast; Breast mass

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